MEDICARE: STEPHANIE G STONE RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14124	CO

General Provider Information

NPI Number	:	1467534867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE G STONE RPH

Provider Business Mailing Address
First Line	:	25451 ROAD T.5
Second Line	:
City	:	DOLORES
State	:	CO
Zip	:	81323-9208
Country	:	US
Telephone Number	:	970-882-8084
Fax Number	:

Provider Business Practice Location Address
First Line	:	RUSTLING WILLOW COMPLEX D
Second Line	:
City	:	TOWAOC
State	:	CO
Zip	:	81334-9999
Country	:	US
Telephone Number	:	970-565-4441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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Directions to “ STEPHANIE G STONE RPH” Practice Location

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